| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHONTAE S BENISON | 1669101267 | 2022-06-26 |
Shontae S Benison is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1669101267. Registration indicates Shontae S Benison is a provider of services with a specialization in Technologists, Technicians & Other Technical Service Providers, Spec/Tech, Health Info (Spec/Tech, Health Info: Registered Record Administrator, ) (Spec/Tech, Health Info Registered Record Administrator, Technologists, Technicians & Other Technical Service Providers) (Spec/Tech, Health Info, )
| Entity Type | Individual |
| Provider Name | Shontae S Benison |
| Practice Office Address | 1100 W BAGLEY RD BEREA, OH US |
| Practice Office Telephone | 4406256300 |
| Practice Office Fax | 4406256301 |
| Mailing Address | 13212 TERMINAL AVE CLEVELAND, OH 441354814 US |
| Business Telephone | 4406256300 |
| Business Fax | 4406256301 |
| Code | Practice | License No State |
|---|---|---|
| 246YR1600X PRIMARY | Technologists, Technicians & Other Technical Service Providers Spec/Tech, Health Info Spec/Tech, Health Info: Registered Record Administrator Spec/Tech, Health Info Registered Record Administrator Technologists, Technicians & Other Technical Service Providers Spec/Tech, Health Info |
OH |